Katherine Blair, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Statesboro, Georgia. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is
19 Coach Lee Hill Blvd, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 662-6501.
Katherine Blair is licensed to practice in Georgia (license number CSW007072) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760937684.
Healthcare Provider's Profile
Full Name | Katherine Blair |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 10 Years |
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Location | 19 Coach Lee Hill Blvd, Statesboro, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katherine Blair graduated from medical school in 2014
NPI Data:
- NPI Number: 1760937684
- Provider Enumeration Date: 08/20/2016
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264859354
- Enrollment ID: I20200903002564
Medical Identifiers
Medical identifiers for Katherine Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760937684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 220532 (Massachusetts) | Secondary |
101YM0800X | Counselor - Mental Health | CSW007072 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | CSW007072 (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Privia Medical Group Of Georgia Llc | 4284951542 | 332 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Blair allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
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Entity Name | Transformative Healthcare Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477114031 PECOS PAC ID: 8921337973 Enrollment ID: O20200903001855 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Blair is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katherine Blair, LCSW 108 Eason St, Statesboro, GA 30458-0790 Ph: (912) 306-0189 | Katherine Blair, LCSW 19 Coach Lee Hill Blvd, Statesboro, GA 30458-4700 Ph: (912) 662-6501 |
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